Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Amnio-maxx or lite per sq cm
Tracy, CA
See all hospitals reporting HCPCS Q4239 →Price type
Sutter Tracy Community Hospital’s median price of $5.4k is 2044% above the median hospital's median price ($252), higher than 94% of the 924 hospitals reporting HCPCS Q4239. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 2 payers, 3 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Anthem medicare adv_ hmo / ppo facility · fee schedule · outpatient | $164 | $164 | — | — | — | $164 – $164 |
| 2 | Blue Cross Blue Shield hmo/ppo facility · fee schedule · outpatient | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 3 | Blue Cross Blue Shield individual facility · fee schedule · outpatient | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
Last updated: Apr 1, 2026
See Amniotic membrane wound graft, per square centimeter pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.